Michele Eave, PHD, LPC
Individual provider Active NPI Counselor · Portland, OR
NPI 1730792292 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1730792292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- C2511 (OR)
- Practice address
- 9450 SW Barnes Rd
Portland, OR 97225-6619 - Phone
- (503) 216-2025
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2511 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C2511 | OR | Yes |
Addresses
Primary practice location
9450 SW Barnes Rd
Portland, OR 97225-6619
Mailing address
28748 SW Finland Ave
Wilsonville, OR 97070-7115
Phone (503) 847-6263
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.